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Home My WebLink AboutTR-5650Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE At 0089C D~e Jan. 5, 2006 THIS CERTIFIES thatthe single-family dwelling and deck 4440 01e Jule Lane, Mattituck Suffolk County Tax Map # 122-4-31 Conforms to the application for a Trustees Permit heretofore f'ded in this office Dated 9/25/02 pursuant to which Trustees Permit# 5650 Dated 10/16/02 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is for a single-family dwelling and deck The certificate is issued to PAUL & DEBRA LAMAIDA aforesaid property. owner of the 'Authorized Signature I ~ APPROVF: NE Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 October 20, 2004 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Mr. & Mrs. Paul LaMaida 34 Maple Rd. Kings Park, NY 11754 RE: 4440 OLE JULE LANE, MATTITUCK SCTM#122-4-3'1 Dear Mr. & Mrs. l_aMaida; The following action was taken by the Southold Town Board of Trustees at their Regular Meeting held on Wed., October 20, 2004: RESOLVED that the Southold Town Board of Trustees grants a One-Year Extension to Permit #5650, as approved on October 16, 2002. This is not an approval from any other agency. If you have any questions, please do not hesitate to contact this office. Sincerely, Albert J. Krupski, Jr. President, Board of Trustees AJK:lms PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971-4616 Tel: (631) 765-4330 Fax: (631) 765-4643 October 30, 2002 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 Re: Premises: Paul Lamaida and Debra Lamaida Ole Jule Lane, Mattituck, NY SCTM # 1000-122-4-31 ~ Dear Ladies/Gentlemen: As per your request, enclosed please the above referenced premises with the indicated. find a survey print of non-disturbance zone If you need anything, else, please do not hesitate to contact us. Very truly yours, ~___~tr:' cia C. Moore PCM/mr Eric. Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Diekerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD YOU ARE REQUIRED TO CONTACT THE OFFICE OF THE BOARD OF TRUSTEES 72 HOURS PRIOR TO COMMENCEMENT OF THE WORK, TO MAKE AN APPOINTMENT FOR A PRE-CONSTRUCTION INSPECTION. FAILURE TO DO SO SHALL BE CONSIDERED A VIOLATION AND POSSIBLE REVOCATION OF THE PERMIT. INSPECTION SCHEDULE Pre-construction, hay bale line I -- -- day of construction constructed Project complete, compliance inspection. ,//~/~ Board Of $outhold Town Trustees SOUTHOLD, NEW YORK PERMIT NO. ~.~(J~) ~ DATE: ....O.~tol?er...~.~., 2002 ISSUED TO PAUL & DEBRA LAMAIDA Pursuant to the provisions of Chapter 615 of the I~ws of the Stale of New York, 1893; and ~pfer ~ of ~e ~ ~ ~ State of New Y~ 19~2~ end ~e S~ Town Ordine~ ~- t~ ."R~U~N~ AND ~E P~OlN~ OF OBSTRUOgONS IN AND ON TOWN WATERS AND PUBUO ~DS e~ ~ RE~OVAL ~ SAND, ~VEL OR O~ER ~A~RIALS ~O~ ~NDS UNDER TOWN'WA~RSff. e~ in ec~e~ ~th ~e Re~l~ion of The B6erd adopted ~t a meetin~ h~ on .~?~...~' ~0g.~...., ~nd in consider~tlon of the sum of $..~.g.g..~.g.g. ........ ~id by .... ~ri~.~...~.....Mg~r~ ..E.~.~ .~qF ~.~.~...&...D~.~...~.~.~.~.~.~ ............. of ....... ~]~ .............................. N. Y. and subset to ~e Te~s end Conditions llded on ~e reve~ tide ~f, of ~uth~ Town Tr~es authorizes end ~ ~ fo~win~: Wetland Permit to construct a single-family dwelling with deck, with the condition that gutters & drywells are installed and hay bales are placed down along the 50'non-disturbance buffer, a~d as degi~ted on,survey.,d~ted,~uhy.19. Z~2.and last rev~s~G · e ~gJ~fJn9 epp~c~fion. October 28, 2002. IN WITNESS WHEREOF, The said Board of Trustees here- ~>~ causes its Corporate Seal to be affixed, and the~epresenh to subserved by a'maioefly of the said Board as~this date. TERMS end CONDmONS The Pmni~ee Paul & Debra l-,aMaida 34 Maple Road, Kings Park, ~ N.¥~ the com/desatloa Eot the ls~,,.-e of the pt..,~¢ does ~glesstand and prescribe to the defeml m~y and di such mlu'iuld~ed b~ ~ pmte~ ~d ~e sdd r-----':::~ sesames full with ~-pect tbet~o, to dm ~ ..--.4.,lan o[ t~ i~,td e~ Tmsms a~ d~e Tram e~ .SaudmM for an ,.~,~don nuty be made to the ]k~rd at · I.*~e ,1._~. 3. That Rds l~-r,~i¢ slmuld be ~x-~i.,,'d /nde~miedy, or as lm~ as d~e said Pemd-ee wishes to m-;,',.'.~- d~ stmctm'e or project involved, to pmvlde ev/dence to .nyoae eoncen~d d~t .~/~- odmttion w~ original7 obtained. 4. Tlmt cbc work involved will be subject to the in~ and approval of the ~ at agents, and nmx-mmp~-~e with. the provisions a~ the atigin~ application, may be "." fat Z That if furore operadom of the Town of ~old aRaL'e d~e mnovd and/m aleetadom lathe location o~ cbc woek hemln mtb~Ized, or ii, tn the oplnlaa ¢~ d~e Bo~I al Trustees, tl~e. ulxm c~se noeke, to mnove or -fret this wodc m p~ojec~ herein stated ~lhoue ezl~as~ to the Town 8. That the said Board will be notified by the Petmittee ot d~e c0mpleelon'of I~e wink ~ orbed. 9. That the Permittee will obtain aH oeber l~ml~ ~ml comeal~ that m~y be requized sa~ plemental to ~!5 permit which may be subject to revoke upon fiil.~ to obta/~ sam~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 October 16, 2002 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Patricia C. Moore, Esq. 51020 Main Road Southold, NY 11971 PAUL & DEBRA LAMAIDA 4440 OLE JULE LANE, MATTITUCK SCTM#122-4-31 Dear Ms. Moore: The Board of Town Trustees took the following action during its regular meeting held on Wednesday, October 16, 2002 regarding the above matter: WHEREAS, Patricia C. Moore, Esq. on behalf of PAUL & DEBRA LAMAIDA applied to the Southold Town Trustees for a permit under the provisions of Chapter 97 of the Southold Town Code, the Wetland Ordinance of the Town of Southold, application dated September 25, 2002, and, WHEREAS, said application was referred to the Southold Town Conservation Advisory Council for their findings and recommendations, and, WHEREAS, a Public Heating was held by the Town Trustees with respect to said application on October 16, 2002, at which time all interested pemons were given an opportunity to be heard, and, WHEREAS, the Board members have personally viewed and are familiar with the premises in question and the surrounding area, and, WHEREAS, the Board has considered all the testimony and documentation submitted concerning this application, and, WHEREAS, the structure complies with the standards set forth in Chapter 97 of the Southold Town Code, WHEREAS, the Board has determined that the project as proposed will not affect the health, safety and general welfare of the people of the town, NOW THEREFORE BE IT, RESOLVED, that the Board of Trustees approve the application of PAUL & DEBRA LAMAIDA to construct a single-family dwelling with deck, with the condition that gutters and drywells are installed and hay bales are placed down along the 50' non-disturbance buffer, and as depicted on the survey dated July 19, 2002 and last revised October 28, 2002. BE IT FURTHER RESOLVED that this determination should not be considered a determination made for any other Department or Agency, which may also have an application pending for the same or similar project. Permit to construct and complete project will expire two years from the date the permit is signed. Fees must be paid, if applicable, and permit issued within six months of the date of this notification. Inspections are required at a fee of $5.00 per inspection. (See attached schedule.) Fees: $10.00 Very truly yours, Albert J. Krupski, Jr. President, Board of Trustees AJK/lms Albert J. K,~upsk/, President James I~ng, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Main Road P.O. Box 1179 Southold, New York 11971 Telephone (516) 765-1892 Fax (516) 765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Please be advised that your application, dated ~/~' has bee~ reviewed by this Board, at the regular meeting of /0//~/~-3 and the following action was taken: (J) Application Approved (see below) (__) Application Denied (see below) (__.) Application Tabled (see below) If your application is approved as noted above, a permit fee is now due. Make check or money order payable to the Southold Town Trustees. The fee is computed below according to the schedule of rates as set forth in the instruction sheet. The following fee must be paid within 90 days or re-application fees will be necessary. COMPUTATION OF PERMIT FEES: PRESIDENT, BOARD OF TRUSTEES BY: CLER/4; BOARD OF TRUSTEES 4198 NEW YORK ~TE DEPARTMENT OF ENVIRONMENTAL CON~/ATION DEC RERMIT NUMBER t- 36-o3o o oooot IpE FACILITY/PROGRAM NUMBER(S) IT Under the Environmental Conservation Law EFFECTIVE DATE October 8, 2002 EXPIRATION DATE(S) October 31, 2007 TYPE OF PERMIT [] New [] Renewal [3 Modification E] Permit to Construct [] Permit to Operate [] Article 15, Title 5: Protection of Waters [3 Article 15, Title 15: Water Supply [] Article 15, Title 15: Water Transport [] Article 15, Title 15: Long Island Wells [] Article 15, Title 27: Wild, Scenic and Recreational Rivers [] Article 17, Titles 7, 8: SPDES [] Article 19: Air Pollution Control [] Article 23, Title 27: Mined Land Reclamation [] Article 24: Freshwater Wetlands · Article 25: Tidal Wetlands [] Article 27, Title 9; 6NYCRR 373: Hazardous Waste Management [] Article 34: Coastal Erosion Management [3 Article 36: Floodplain Management [] Articles 1, 3, 17, 19, 27, 37;6NYCRR 380: Radiation Control [] 6NYCRR 608: Water Quality Certification [] Ar[icle 27, Title 7; 6NYCRR 360: Solid Waste Management PERMIT ISSUED TO Paul & Debra La Maida TELEPHONE NUMBER (516) 779-7651 ADDRESS OF PERM~ ~ I ~l~ 34 Maple Road, Kings Park, NY 11754 CONTACT PERSON FOR PERMITTED WORK Patricia Moore, 51020 Main Road, Southold, NY 11971 TELEPHONE NUMBER (631) 765-4330 NAME AND ADDRESS OF PROJECT/FACILITY La Maida property, 4440 Old Jule Lane, Mattituck, NY COUNTY TOWN I Suffolk Southold DESCRIPTION OF AUTHORIZED ACTIVITY: 11952 NYTM COORDINATES WATERCOURSE James Creek Construct single family dwelling and sanitary system with retaining wall. All work must be done in accordance with the attached survey submitted by Joseph Ingegno on 7/19/02 and stamped NYSDEC approved on 10/8/02. By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, the General Conditions specified (see page 2 & 3) and any Special Conditions included as part of this permit. PERMIT ADMINISTRATOR: ADDRESS Ro~ler Evans (MEP) Region 1 Headquarters, BId~l. ~-40, SUNY, Stony Brook, NY 11790-2356 NEW Y~mm~STATE DEPARTMENT OF ENVIRONMENTAL CONSER~N NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indemnification The permittee expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, end agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the permittee's acts or omissions in connection with the permittee's undertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terms and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their rasponsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of-way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. GENERAL CONDITIONS General Condition l: Facility Inspection by the Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71-0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this permit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failura to produce a copy of the permit upon request by a Department representative is a violation of this permit. General Condition 2: Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained Jn such order or determination. General Condition 3: Applications for Permit Renewals or Modifications The permittee must submit a separate written application to the Department for renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. The permittee must submit a renewal application at least: a) 180 days before expiration of permits for State Pollutant Discharge Elimination System (SPDES), Hazardous Waste Management Facilities (HWMF), major Air Pollution Control iAPC) and Solid Waste Management Facilities (SWMF); and b) 30 days before expiration of all other permit types. Submission of applications for permit renewal or modification are to be submitted to: NYSDEC Regional Permit Administrator, Region 1, SUNY Bldg #40, Stony Brook NY 11790-2356 General Condition 4: Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit in accordance with 6 NYCRR Part 621. The grounds for modification, suspension or revocation include: a) materially false or inaccurate statements in the permit application or supporting papers; b) failure by the permittee to comply with any terms or conditions of the permit; c) exceeding the scope of the project as described in the permit application; d) newly discovered material information or a material change in environmental conditions, relevant technology or applicable law OF regulations since the issuance of the existing permit; e) noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. DECPERMITNUMBER PAGE 2 OF 4 1-4738-03070/00001 NEWYORK STATE DEPAR'II~ENT OF ENVIRONMENTAL CONSE ,~.DDITIONAL GENERAL CONDITIONS FOR ARTICLES 15 (TITLE 5), 24, 25, 34 AND 6NYCRR PART 608 ( TIDAL WETLANDS) If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the free navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner may be ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompletad structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or right to compensation shall accrue from any such damage. Granting of this permit does not relieve the applicant of the responsibility of obtaining any other permission, consent or approval from the U.S. Army Corps of Engineers, U.S. Coast Guard, New York State Office of General Services or local government which may be required. All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. Any material dredged in the conduct of the work herein permitted shall be removed evenly, without leaving large refuse piles, ridges across the bed of a waterway or floodplain or deep holes that may have a tendency to cause damage to navigable channels or to the banks of a waterway. There shall be no unreasonable interference with navigation by the work herein authorized. If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. If granted under 6NYC RR Part 608, the NYS Department of Environmental Conservation hereby certifies that the subject project will not contravene effluent limitations or other limitations or standards under Sections 301,302, 303, 306 and 307 of the Clean Water Act of 1977 (PL 95-217) provided that all of the conditions listed herein are met. At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work and, if required, a survey. 10. All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or his agent as part of the permit application. Such approved survey was prepared by Joseph Inqeqno on 7/19/02. DEC PERMIT NUMBER PAGE 3 OF 4 1-4738-03070/00001 NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVAT)ON SPECIAL CONDITIONS 1. During construction, concrete or leechate shall not escape or be discharged, nor shall washings from transit mix trucks, mixers, or other devices enter tidal wetlands and or protected buffer areas. 2. Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in tidal wetlands and or protected buffer areas. 3. There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activity. 4. The storage of construction equipment and materials shall be confined to within the project work site and or upland areas greater than 75 linear feet from the tidal wetland boundary. 5. To protect the values of the tidal wetlands, a permanent vegetated buffer zone shall be established. There shall be no disturbance to the natural vegetation or topography within an area extending 50 Iinear feet landward of the tidal wetland boundary. -~ ' 6. A row of staked hay bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 50 linear feet from the tidal wetland boundary, or as per NYSDEC approved plan, at commencement of regulated activities and remain in place until project is completed and all disturbed areas stabilized with vegetation. 7. Roof runoff shall be directed to drywells a minimum of 75 feet landward of the tidal wetland boundary for immediate on-site recharge. 8. Driveways and parking areas shall be constructed of pervious material. 9. The permittee shall incorporate the following language as a notice covenant to the deed: "Regulated tidal wetlands associated with James Creek are located at Suffolk County Tax Map Number: District 1000, Section 122, Block 04, Lot 31, otherwise known as the properties of Paul & Debra La Maida and their heirs, assigns, or successors. This property is subject to the provisions of New York State Environmental Conservation Law (ECL) Article 25 or its successor, and the conduct of regulated activities may occur only pursuant to ECL Article 25 if prior approval is given by the New York State Department of Environmental Conservation (NYSDEC) or its successor. Regulated activities include, but are not limited to the erection of any structure(s); excavation; dredging grading and filling; clearing of vegetation; and application of chemicals." This deed covenant shall be recorded with the Clerk of Suffolk County within 90 days of the issuance of this permit. A copy of the covenanted deed or other acceptable proof of record, along with the number assigned to this permit, shall be sentwithin one calendaryear of the issuance of this permit to: NYSDEC, Regional Manager, Bureau of Marine Habitat Protection, SUNY Building 40, Stony Brook, New York 11790-2356. DEC PERMIT NUMBER PAGE 4 of 4 %4738-03070/00001 Telephone (631) 765-1892 To~t H.~. 5309,5 Main Road P.O. Box 1179 Southold, Ne~v Yo~k 11971 SOUTHOLD TOWN CONSERVATION ADVISORY COUNCIL At the meeting of the Southold Town Conservation Advisory Council held Monday, October 7, 2002, the following recommendation was made: PAUL & DEBRA LAMAIDA to construct a Single-family dwelling with 'deck. Located: 4440 Ole Jule Lane, Mattituck. SCTM#122-4-31 The CAC did not make an inspection therefore no recommendation was made. To the board of trustees town of Southhold Re: Porperty on 4440 Ole Jule La. Mattituck N.Y. OCT 1 4 2~u4 Seuthold Town Roa~d of ?mstees To whom it may concern: Because of lack of contractors availabilities, we are unable to start construction before our scheduled date. Please extend our permits for the next year to allow us to complete construction. Thank you, Mr, and Mrs Paul LaMaida 34 Maple rd. Kings Park Ny. 11754 Received From Address 042284 Dollars $. BALANCE DUE Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town HallzJ~.r 53095 Route 25 P.O. Box 1179 Southold, NewYork 11971-0959 Telephone(631) 765-1892 Fax(631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OFSOUTHOLD Office Use Only _~weaStat Erosion Permit Application tland Permit Application ~' Major Waiver/Amendment/.C hanges 'Keceived Application: ,,Received Fee:$ ~Q.~" C~mpleted Application~ Incomplete SEQRA Classification: Type I Type II Unlisted__ Coordination:(date sel~tt ~..CAC Referral Sent: ...Date of Inspection:~ Receipt of CAC Report: Lead Agency Determination:__ Technical Review: ~?ublic Hearing Held:~ Resolution: Minor SEP Name of Applicant Address $'/ Phone Number:( ) ?~/~ Suffolk County Tax Map Number: 1000- /o2:,q- - q- ,~/' Property Location: o'/~ ;]-t//~ /_~4~ C / /~a.//~/-ocJ~- (provide LILCO Pole #, distance to cross streets, and location) AGENT: ('~/--r~.c, & ,~U6'~ ~' (If applicable) Address: 5 10 Board of Trustees Application Land Area (in square feet): Area Zoning:. /~ - fro GENERAL DATA Previous use of property: Intended use of property: Prior permits/approvals for site improvements: Agency Date No prior permits/approvals for site improvements. (kt//'/$ ~c~q ) Has any permit/approval ever been revoked or suspended by a governmental agency? 'X No__ Yes If yes, provide explanation: Project Description (use attachments if necessary):. , / Board of Trustees Application WETLAND/TRUSI'EE LANDS APPLICATION DATA Purpose of the proposed operations: fi3 ff-aq..O/W'c; c ~ Area of wetlands on lot: v g-h.ectd .square feet Percent coverage of lot: Closest distance between nearest existing structure and upland edge of wetlands: '~5' ~ feet Closest distance between nearest proposed structure aod upland edge of wetlands: 75~ feet (.J~u/Ktreac/) ~ Does the project involve excavation or filling? No .~' Yes If yes, how much material will be excavated? cubic yards How much material will be filled? cubic yards ~ f~ Depth of which material will be remov~ or de~sit~: feet Proposed slope throughout the area of operations: ~"r_~ Manner in which material will be removed or deposited: Statement of the effect, if any, on the wetlands and tidal waters of the town that may result by reason of such proposed operations (use attachments if appropriate): PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax:: (631) 765-4643 Board of Trustees Town of Southold 53095 Main Road P.O. Box 1179 Southold, NY 11971 February 11, 2002 RE: Paul Lamaida and Debra Lamaida Premises: Ole Jule Lane, Mattituck, NY SCTM: 1000-122-4-31 Dear Sirs: Enclosed please find four (4) signed Return Receipt Cards for the above referenced matter. Very truly yours, Patricia C. Moore By: Melissa McGowan, Secretary /mm Enclosures PATRICIA C. MOORE Attorney at Law 51020 Main Road Southold, NewYork 11971 Tel: (631) 765-4330 Fax:: (631) 765~,643 October 8, 2002 Board of Trustees Town of Southold P.O. Box 1179 Southold, NY 11971 OCT RE: Paul Lamaida and Debra Lamaida ~ .7~ Premises: Ole Jule Lane, Mattituck, NY SCTM: 1000-122-4-31 L Dear Sir or Madam: Enclosed please find the Affidavit of Mailing, Affidavit of Posting and four (4) Certified Mail Receipts for the above referenced matter. We will forward the signed Return Receipt Cards to you upon our receipt of same. /mm Enclosures Very truly yours, Patricia C. Moore By: Melissa McGowan, Secretary Name: PROOF OF M~ILING OF NOTICE ATTACH CERTIFIED MAIL RECEIPTS Address: Mary A. Hovey Ernest Wilsberg~ Trustee Barbara M. Wilsberg, Trustee Ernest Wilsberg 4500 Ole Jule Lane Mattituck~ NY 11952 4175 Ole Jule Lane Mattituck~ NY 11952 4175 Ole Jule Lane Mattituck, NY 11952 4175 Ole Jule Lane Mattituck, NY 11952 STATE OF NEW YORK COUNTY OF SUFFOLK Melissa McGowan , residing at 555 Marlene Lane, Mattituck, New York , being duly sworn, deposes and says that on the ~d day of October ,1~ 2002, deponent mailed a true copy of the Notice set forth in the Board of Trustees Application, directed to each of the above named persons at the addresses set opposite there respective names; that the addresses set opposite the names of said persons are the address of said persons as shown on the current assessment roll of the Town of Southold; that said Notices were mailed at the United States Post Office at Southold , that said Notices were mailed to each of said persons by (certified) (~3i~) mail. Melissa McGowan Sworn to before me this ~'f~ day of October ,]gR 2002 6 PATRICIA C. MOORE A~tomey at Law 51020 Main Road Southold, New York 11971 Tel: (631) 765-4330 Fax: (631) 765-4643 Margaret Rutkowski Secretary October 3, 2002 BY CERTIFIED MAIL RETURN RECEIPT REQUESTED Neighbors Re: Paul Lamaida and Debra Lamaida Ole Jule Lane, Mattituck, NY SCTM# 1000-122-4-31 Dear Neighbor: Paul I represent regard to property located NY. They are requesting a family dwelling with deck. Hearing and a survey of proposed construction. Lamaida and Debra Lamaida with at Ole Jule Lane, Mattituck, permit to construct a single Enclosed is the Notice of the premises showing the The hearing on this matter has been scheduled for Wednesday, October 16, 2002 at 7:00 pm at Southold Town Hall. If you have any questions, or you wish to support this application, please do not hesitate to contact me. Very tr~ ~yours, ~]Patricia C. Moore PCM/mm Enclosures Albert J. Krupski, President James King, Vice-President Henry Smith Artie Foster Ken Poliwoda Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-1366 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD BOARD OF TRUSTEES: TOWN OF SOUTHOLD In the Matter of the Application of ....... COUNTY OF SUFFOLK) STATE OF NEW YORK) I, Patricia C. Moore AFFIDAVIT OF POSTING · residing at 370 Terry Lane~ Southold~ New York being duly sworn, depose and say: That on the ~¢~ day of October, 2002, I personally posted the property known as 01e 3ule Lane, Mattltuck~ NY by placing the Board of Trustees official poster where it can easily be seen, and that I have checked to be sure the poster has remained in place for eight days prior to the date of the public hearing. Date of hearing noted thereon to be held ~~,~/~ Dated: October ~ , 2002 Sworn to before me this 7~./' day of October 200 2 (~gnature) Patricia C. Moore Notary Public Board of Trustees Application County of Suffolk State of New York BEINODU Y SWO DEPOSES AND AFFIRMS THAT HE/SHE IS THE APPLICANT FOR THE ABOVE DESCRIBED PERMIT(S) AND THAT ALL STATEMENTS CONTAINED HEREIN ARE TRUE TO THE BEST OF HIS/HER KNOWLEDGE AND BELIEF, AND THAT ALL WORK WILL BE DONE IN THE MANNER SET FORTH IN THIS APPLICATION AND AS MAY BE APPROVED BY THE SOUTHOLD TOWN BOARD OF TRUSTEES. THE APPLICANT AGREES TO HOLD THE TOWN OF SOUTHOLD AND THE TOWN TRUSTEES HARMLESS AND FREE FROM ANY AND ALL DAMAGES AND CLAIMS ARISING UNDER OR BY VIRTUE OF SAID PERMIT(S), IF GRANTED. IN COMPLETING THIS APPLICATION, I HEREBY AUTHORIZE THE TRUSTEES, THEIR AGENT(S) OR REPRESENTATIVES(S), TO ENTER ONTO MY PROPERTY TO INSPECT THE PREMISES IN CONJUNCTION WITH REvn::w OF THIS APPLICATION. Signature SWORN TO BEFORE ME THIS DAY OF ,2O C:' ~ 617.21 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I--PROJECT INFORMATION (To be comole~ed by Applicant or Prolect sponsor) SEG PROJECT LOCAT'ON: PRECISE LOCATION (Stree DESCRIBE PROJECT BRIEFLY: WILL PROPOSED ACTION COMPLY WiTH =.XJSTING ZONING OR OTHER EXISTING LAND USE RESTiRICTIONS? 10. DOES ACTION INVOLVE A PERMIT APPROVAl.. OR FIJNDII',!O, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL .AGENCY (FEDERAL, STATE C,R LOCAL)? [] Yes [] NO ~f yes, list agency(s} anti I~errnit/~13!~rov;~ls DOES ANY ASPECT OF THE ACTIOI4 HAVE A CURRENTLY VALID PERMIT OR APPROVAL? [] Yes .~NO l! yes, list agency name and permil/aoproval If the action is in the Coastal Area, and you are a state agency, compiete the Coast.~l Assessment Form before proceeding with this a~essment OVER TART Ill--OET~RMINATICN OF' SIGNIFICANCE {To ;e comolete(3 ~y INSTRUCTIONS; r-Or e3cn a(3ve~se effec: identified 3Eove. ~]etermine wnemer ~t is su~3s:antiaL large, imcor~an( or omer, vrse signi --_~¢n ~ifec'. should be assessed in connec:mn ,,v~tn ,ts (a) setting (i.e. urban or rural); (b) ~i'OOaDil[t¥ of OCC~3-~I~g; (.¢I duretion' irre'/ermb~li~y; ;el geograonic scoce; a~d (t) magmtuce. If necessary, acrd at~a¢,hments or reference supoorzing materim$. ~nsure =.xl3~anadcn$ ccntam sufficient ~le~aii !o snow t~at all re~evant ac~verse imoacts have been identifiecl and adeduazew addressed. MCNULTY--SPI£$$ ?2? 8262 831 785 4843; ALJ~3 f3 :34; AUTHORIZATION LETTER New York StaGe Department of ~nvironment~] Conservation Building 4~-$UNY Stony Brook, N::w York !1';90-235g Att: Requlatory P~ll:ll~$ OWNER: name: ~rnest Wiisbur~ address: 4440 Ole Julc Lane, Mattituck NY 11952 telephon~ n'im~er~c/o Jamez S~iess Esq. 63!-72~260C PROPERTY: 4q~g Ole Juie ~,u.le, Mattituck NY SCTM#: 1000-12R-04-31 AGEKT: name: Pa=ricia C. Moor~ address.: 51O2O Maim Road, $outhold NY ~1971 telephone n~mb~r: 631-765-4330 D_~r .qir O~" Madar~; I Ernemg WiA~ber~ authorize Purchasers, Paul and Debra LaMa~a, and :h~ir a~torney, Patricia C. Moore to ~ile any and all app=icatl~ns for a permit, or determination of non-jurisdiction to th~ DBC, Town Trustees, Health Department, arid any other r09~la~¢ry a~ency. Ver~ truly yours, Ez'~]es~ Wilsberg APPbX~ANT The Town o~,S~u~hold's Code of ~.thtc~,prohibibs conflicts of interest on the_part of bows off to,ers and employs,es. .,The purpose of, ~his. form is ~o provide information which can alert the town o~ possible conflicts o~ interest and allow i~ to take whatever action is necessary to avoid sa~e. '{Last name,' first name, middle initial, unless you are applying in the name of someone else other entity, such ~s a company. the other person's or company's name.) NATU~ OF APPLICATIO.~ (Ch~e~ all tha~ ap~ly.) Tax grievance Variance Change of mone ~Rp~i>val of plat ' Exetption from plat o~ official map other ~7-~(~ b (If "Other," name the activity,) .... . .... .,.. Do ~ou pereonallF (or ~hrough your compeny~ spouse, sibling, parent, or child) have a reletfonel~ip with any o;~leer or employee off the Town nE Southold? "RelntionBhip" includes by blood, marriage, or business interest. "~usinees interest# means a business, including a partnership~ in which ihs toes o~fftuer or employee has even a partial ownership off (or employment by) a corporation in which the town officer or employee owns more than 5~ o~ the sharee. YES NO ~ I~ you a'nsvered ~TES,#.complete ~he balance date and sign where indicated. ~hi. ~orm and Name of person employed by the ToWn of gouthold Title or position of that person Describe the relationship between yourself (the applicant) and the town officer ~r employee, Either check the appropriate line A) through D) and/or describe in the space provided. The town o£fieer or employes or his or her Spouse,' sibling, parent, or child is (check all that apply)~ __A) the owner of greater than 5% of the shares of the corporate stock of the applicint (when the applicant' is a corporation)~ B) the legal or b~nsficial owner of any interest in a noncorporate'entlty (when the applicant is not a corporation)~ C) an officer, director, appllca~tt or D) the a~tual applicant. DESCRIPTION OF RELATXONSIIIP Partner, or employes .St'BOg ~z:z ,g L 'DOg d